How much rates vary
Facilitymedian $776 · 10th to 90th $288 to $1,660Professionalmedian $347 · 10th to 90th $251 to $447
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $269.15 Median $288.40 Typical High $354.81 | Facility | None | $269.15 | $288.40 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $281.84 Typical High $371.54 | Professional | None (both parts) | $251.19 | $281.84 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $48.98 | $50.12 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $229.09 Typical High $263.03 | Professional | TC · Technical part | $199.53 | $229.09 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
BCBS Michigan Setting Facility Modifier None Typical Low $446.68 Median $1,047.13 Typical High $2,089.30 | Facility | None | $446.68 | $1,047.13 | $2,089.30 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $70.79 Median $416.87 Typical High $446.68 | Professional | None (both parts) | $70.79 | $416.87 | $446.68 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $75.86 | $75.86 | $75.86 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | TC · Technical part | $371.54 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $323.59 Typical High $707.95 | Professional | None (both parts) | $239.88 | $323.59 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $53.70 Typical High $114.82 | Professional | 26 · Professional part | $38.02 | $53.70 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $275.42 Typical High $602.56 | Professional | TC · Technical part | $199.53 | $275.42 | $602.56 |
Health Alliance Plan Setting Facility Modifier None Typical Low $288.40 Median $645.65 Typical High $1,000.00 | Facility | None | $288.40 | $645.65 | $1,000.00 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $281.84 Median $346.74 Typical High $457.09 | Professional | None (both parts) | $281.84 | $346.74 | $457.09 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $69.18 | Professional | 26 · Professional part | $45.71 | $53.70 | $69.18 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $295.12 Typical High $398.11 | Professional | TC · Technical part | $234.42 | $295.12 | $398.11 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $288.40 Typical High $602.56 | Professional | None (both parts) | $208.93 | $288.40 | $602.56 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $81.28 | Professional | 26 · Professional part | $35.48 | $50.12 | $81.28 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $251.19 Typical High $537.03 | Professional | TC · Technical part | $173.78 | $251.19 | $537.03 |
United Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $676.08 | Facility | None | $245.47 | $323.59 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $323.59 Typical High $416.87 | Professional | None (both parts) | $275.42 | $323.59 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $51.29 Typical High $61.66 | Professional | 26 · Professional part | $45.71 | $51.29 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $269.15 Typical High $363.08 | Professional | TC · Technical part | $229.09 | $269.15 | $363.08 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $138.04 Typical High $141.25 | Professional | 52 · Reduced service | $131.83 | $138.04 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $53.70 | $56.23 | $56.23 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $151.36 | $151.36 | $151.36 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $60.26 | $60.26 | $60.26 |
Where Michigan sits
The same service costs 3.0 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Michigan· 19th of 51
$347
AK $646UT $214
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.